TRI-STATE MEDICAL GROUP INC
NPI 1558340968
Clinic/Center - Federally Qualified Health Center (FQHC) in Keokuk, IA

Active since January 13, 2006
400 N 17TH ST, KEOKUK, IA 52632(319) 524-5734(319) 524-5758 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, Jan 25, 2023, Aug 8, 2022 (3 updates tracked since 2022).

About Tri-state Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE MEDICAL GROUP INC (NPI 1558340968) is a healthcare organization registered as a federally qualified health center (fqhc) in Keokuk, Iowa and active in the NPI registry since January 2006. The organization maintains a secondary practice location in Keokuk and lists Antonio Flores, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558340968
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
Location Address400 N 17TH STKeokuk, IA 52632-3452
Mailing Address1706 West Agency RoadWest Burlington, IA 52655 · (319) 768-5858 · Fax (319) 753-2301
Fax(319) 524-5758
Organization SubpartNo
Authorized OfficialAntonio FloresCeo · (319) 768-5858
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
NPI 1558340968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
400 N 17TH ST, Keokuk, IA 52632

Other Names 1

Doing Business AsTri-state Medical Group Inc

Secondary Practice Location 1

Location 11618 Main StKeokuk, IA 52632-3928 · Phone (319) 524-5734

Other Identifiers 3

Medicaid0278374IA
Medicaid506089408MO
Other33624IA · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
400 N 17TH ST
KEOKUK, IA 52632
Social Worker
400 N 17TH ST
KEOKUK, IA 52632
Nurse Practitioner (Pediatrics)
400 N 17TH ST
KEOKUK, IA 52632
Counselor (Professional)
400 N 17TH ST
KEOKUK, IA 52632
Nurse Practitioner (Family)
400 N 17TH ST
KEOKUK, IA 52632
Nurse Practitioner (Family)
400 N 17TH ST
KEOKUK, IA 52632
General Practice
400 N 17TH ST
KEOKUK, IA 52632
Nurse Practitioner (Family)
400 N 17TH ST
KEOKUK, IA 52632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Health Centers Of Southeastern Iowa, Inc's NPI number?

The NPI number for Community Health Centers Of Southeastern Iowa, Inc is 1558340968. It was assigned to this organization in the NPPES registry on January 13, 2006. The provider is doing business as Tri-State Medical Group Inc.

Where is Community Health Centers Of Southeastern Iowa, Inc located?

Community Health Centers Of Southeastern Iowa, Inc is located at 400 N 17th St, Keokuk, IA 52632. The listed phone number is (319) 524-5734.

What is Community Health Centers Of Southeastern Iowa, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Community Health Centers Of Southeastern Iowa, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Community Health Centers Of Southeastern Iowa, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Health Centers Of Southeastern Iowa, Inc was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.